LA CASA DE BUENA SALUD INC (NPI# 1588048524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588048524 |
| Entity Type | Organization |
| Organization Name | LA CASA DE BUENA SALUD INC |
| Other Organization Name | LA CASA SCHOOL BASED MEDICAL/DENTAL CENTER-ROSWELL HIGH |
| Practice Address |
1515 W Fir St Portales NM 88130-5703 |
| Mailing Address |
500 W Hobbs St Roswell NM 88203-1834 |
| Practice Telephone | 5753566695 |
| Mailing Telephone | 5756272808 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | SEFERINO M MONTANO (CEO) |
| Authorized Official Telephone | 5753566695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Other Name | Type Code |
|---|---|
| La Casa School Based Medical/Dental Center-Roswell High | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588960959 | La Casa De Buena Salud Inc | Clinic/Center | 1400 Cameo St, Clovis, NM 88101-5401 | 2011-02-02 |
| 1679879043 | La Casa De Buena Salud Inc | Clinic/Center | 500 W 14th St, Clovis, NM 88101-5679 | 2011-02-02 |
| 1760788137 | La Casa De Buena Salud Inc | Clinic/Center | 100 Commerce Way, Clovis, NM 88101-4768 | 2011-02-02 |
| 1710283155 | La Casa De Buena Salud Inc | Clinic/Center | 1121 Maple Street, Clovis, NM 88130 | 2011-02-02 |
| 1720384167 | La Casa De Buena Salud Inc | Clinic/Center | 400 South Davis Street, Clovis, NM 88101 | 2011-02-02 |
| 1730485244 | La Casa De Buena Salud Inc | Clinic/Center | 400 Lockwood Drive, Clovis, NM 88101-8445 | 2011-01-31 |
| 1215037379 | La Casa De Buena Salud Inc | Clinic/Center | 1511 South Grand Avenue, Roswell, NM 88201 | 2006-09-25 |
| 1215311261 | La Casa De Buena Salud Inc | Local Education Agency (LEA) | 701 E Country Club Rd, Roswell, NM 88201-7607 | 2015-07-18 |
| 1033593082 | La Casa De Buena Salud Inc | Local Education Agency (LEA) | 1601 E Bland St, Roswell, NM 88203-7900 | 2015-07-18 |
| 1538555040 | La Casa De Buena Salud Inc | Community/Behavioral Health | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2015-04-10 |
| Street Address |
1515 W FIR ST |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756264 | Guadalupe M Kennedy | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2005-11-02 |
| 1033771647 | Lee Le | Dentist | 1515 W Fir St, Portales, NM 88130-5703 | 2019-07-03 |
| 1366918963 | Jonathan Redd | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2018-10-22 |
| 1386000636 | Michelle Lynn Hawkins | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2015-12-31 |
| 1124422597 | Teresa Claire Evan | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2014-10-14 |
| 1588912893 | William Jacob Divett | Social Worker | 1515 W Fir St, Portales, NM 88130-5703 | 2012-08-16 |
| 1649535527 | Bhargav Chowdary Paleti | Internal Medicine | 1515 W Fir St, Portales, NM 88130 | 2012-07-07 |
| 1023380615 | Katherine M Thatcher | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2012-01-30 |
| 1700078375 | Giddel G A Thom | Pediatrics | 1515 W Fir St, Portales, NM 88130-5703 | 2007-08-16 |
| 1871693044 | Penny G Sanders | Counselor | 1515 W Fir St, Portales, NM 88130-5703 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912073909 | Portales Municipal Schools | Local Education Agency (LEA) | 501 S Abilene Ave, Portales, NM 88130-6380 | 2006-11-28 |
| 1881789337 | Regional Educational Center #6 | Local Education Agency (LEA) | 1500 S. Ave. K, Enmu, Station 9, Portales, NM 88130 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510975 | Sandoval Academy of Bilingual Education | Local Education Agency (LEA) | 4321 Fulcrum Way Ne Ste A, Rio Rancho, NM 87144-8410 | 2020-08-28 |
| 1174164974 | Gordon Bernell Charter School | Local Education Agency (LEA) | 2821 4th St Nw, Albuquerque, NM 87107-1313 | 2019-10-02 |
| 1154831451 | Anansi Charter School | Local Education Agency (LEA) | 57 State Highway 230, El Prado, NM 87529 | 2017-10-02 |
| 1396264347 | Monte Del Sol Charter School | Local Education Agency (LEA) | 4157 Walking Rain Rd, Santa Fe, NM 87507-0825 | 2017-09-11 |
| 1316317639 | New Mexico Foundation for Individuals With Disabilities | Local Education Agency (LEA) | 1270 Mirador Loop Ne, Rio Rancho, NM 87144-5326 | 2015-09-29 |
| 1104218072 | Rio Gallinas School for Ecology and The Arts | Local Education Agency (LEA) | 1107 Montezuma St, Las Vegas, NM 87701-3519 | 2015-03-02 |
| 1740606102 | Corrales International Charter School | Local Education Agency (LEA) | 3821 Singer Blvd Ne, Albuquerque, NM 87109-5804 | 2014-03-10 |
| 1659713931 | Aldo Leopold Charter School | Local Education Agency (LEA) | 1422 Highway 180 E, Silver City, NM 88061-7837 | 2013-07-26 |
| 1669710034 | Enmu Roswell | Local Education Agency (LEA) | 701 E Country Club Rd, Roswell, NM 88201-7607 | 2013-01-19 |
| 1285987289 | Northwest Regional Education Cooperative #2 | Local Education Agency (LEA) | 182 North Pine, Bldg C, Chama, NM 87520 | 2012-10-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LA CASA DE BUENA SALUD INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.